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2.1
Geographic Tongue
Benign Migratory Glossitis

Images

WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, Public Domain

Presentation

Dorsum and lateral aspects of the tongue usually present with the deep fissures and grooves. In this scientific article, we present a case report of a 20-year-old man, who had a combination of BMG and scrotal tongue. [njgp.org]

This article presents a case of symptomatic geographic tongue with fissured tongue with a history of asthma. [ncbi.nlm.nih.gov]

These lesions all present with microabscess or neutrophilic infiltration of the lower portions of the epithelium or of the underlying connective tissue papillae. None present with abscesses of the keratin or superficial layers. [web.archive.org]

A detailed report of a case is presented in which an atypical migratory stomatitis went undiagnosed. [lookfordiagnosis.com]

Entire Body System

  • Pain

    See your GP or dentist if you have persistent discoloured or painful patches on your tongue. [knowyourdoctor.com.cy]

    […] of the blood vessels and can also lead to painful mouth ulcers pemphigus vulgaris – a rare and serious condition that causes painful blisters to develop on the skin, as well as inside the mouth, nose, throat, anus and genitals medications – painful mouth [beaconmedicalgroup.nhs.uk]

    Still, a number of treatments possibly will assist decrease symptoms: OTC medicine: Some pain or else discomfort created by the lesions possibly will be treated with an over-the-counter pain medicine such as ibuprofen otherwise naproxen sodium. [locusdentalcare.com]

    She had noted some white patches leaving smooth denuded red areas with whitish elevated borders on the dorsum of her tongue, and finally felt strong pain. [ncbi.nlm.nih.gov]

    Patient's 2-year-old elder brother also had a similar history of painful oral lesions. [ijpd.in]

  • Reiter Syndrome

    When rete ridges are not elongated, the pathologist should consider Reiter's syndrome as a diagnostic possibility. [web.archive.org]

    It may be associated with Reiter’s syndrome, Down syndrome, Aarskog syndrome, Fetal hydantoin syndrome and Robinow's syndrome 28 Reiter’s syndrome is characterized by the triad of urethritis, arthritis and conjunctivitis. [ispub.com]

    Unlike in the presented cases which were asymptomatic, only reassurance was considered. [10] Association with syndromes, it may be associated with Reiter's syndrome, Down syndrome, Aarskog syndrome, Foetal hydantoin syndrome and Robinow syndrome. [11] [aihbonline.com]

    […] associated with the disorder include Reiter's syndrome, Aarskog syndrome, Fetal hydantoin syndrome,[13] Robinow's syndrome,[14] and Down's syndrome.[15] Significant coexistence of geographical tongue with fissured tongue has been reported.[16] Smoking [ijpd.in]

    In fact, many experts consider that Reiter's syndrome is best classified as a type of psoriasis [ 6 ]. [karger.com]

  • Short Stature

    The lesions, especially those of tongue closely resemble geographical tongue. 49,50 Robinow's syndrome or fetal facies syndrome is a rare genetic disorder and includes a series of anomalies such as short stature, characteristic facial dysmorphism (fetal [ispub.com]

Gastrointestinal

  • Nausea

    The reactions included burning mouth, chest pain, nausea, shortness of breath, dizziness, heart palpitations, and chills. The patient at the time of presentation still suffered from moderate to severe hypertension and high serum cholesterol. [dentistrytoday.com]

    There may be prodromal symptoms including fever, nausea, malaise, headache and irritability. Symptoms generally last for one to two weeks. This self-limiting condition can be adequately managed symptomatically with: Analgesia (eg, paracetamol). [patient.info]

Jaw & Teeth

  • Lesion of the Tongue

    The lesions typically resolve spontaneously without sequelae but can develop quickly in other areas of the tongue. A 61-year-old man was referred for treatment of painless white lesions on his tongue that had appeared 1 month earlier. [nejm.org]

    However, lesions on the tongue may indicate other more-serious conditions of the tongue or diseases affecting the body in general. If you have lesions on the tongue that don't resolve within 10 days, see your doctor or dentist. [mayoclinic.org]

    Symptoms include: Map-like appearance to the surface of the tongue Patches that move from day to day Smooth, red patches and sores (lesions) on the tongue Soreness and burning pain (in some cases) Your health care provider will diagnose this condition [nlm.nih.gov]

  • Aphthous Ulceration

    Fortunately, most of these lesions are transient and can be diagnosed clinically; examples include aphthous ulcers, traumatic ulcers, and lesions of infectious etiology such as viral lesions and candidiasis. [books.google.de]

    Saunders Company; 2009 Scully C, Aphthous Ulceration. [intechopen.com]

    ulcer 3.3 3.0 3.1 Papillary hyperplasia 1.7 3.8 3.0 Mucocele 1.9 2.6 2.5 Herpes labialis (herpes simplex) 2.4 2.6 2.5 Traumatic ulcer 2.1 2.1 2.1 Angular cheilitis 1.8 1.9 1.9 Smokeless tobacco keratosis 4.3 0.2 1.7 Hematoma or ecchymosis 2.0 1.4 1.6 [web.archive.org]

    In line with these results, the abundance of Acinetobacter was significantly higher among patients with recurrent aphthous ulcers [40]. [tandfonline.com]

    Idiopathic: Aphthous ulcers or recurrent aphthous stomatitis (very common). [patient.info]

  • Oral Ulcers

    Oral ulcers were a common finding, probably due to severe neutropenia and impaired neutrophil migration which characterises the onset of this rare disorder. ( info) 22/23. erythema migrans: an unusual presentation. [lookfordiagnosis.com]

    'Soreness' in the mouth is usually due to mucosal inflammation and/or ulcer formation. Mouth ulcers are extremely common and have a number of causes. Causes of mouth ulcers For more detail see the separate Oral Ulceration article. [patient.info]

    Solitary Oral Ulcers and Fissures. In: Wood NK, Goaz PW, eds. Differential Diagnosis of Oral and Maxillofacial Lesions. 5th ed. St Louis, Mo: Mosby; 1997:162-181. Dr. [dentistrytoday.com]

    Propolis allergy: a cause of oral mucositis with ulceration. Oral Surg Oral Med Oral Pathol. 1990;70:584–6. View Article PubMed Google Scholar Budimir V, Brailo V, Alajbeg I, Vučićević Boras V, Budimir J. [doi.org]

  • Sore Mouth

    Children's mouth problems Causes of sore mouth or mouth ulcers to consider in children are as follows. Dental disease. [patient.info]

    Clinical assessment and outcome in 70 patients with complaints of burning or sore mouth symptoms. Mayo Clin Proc 1999;74:223-8. 24. Assimakopoulos D, Patrikakos G, Fotika C, Elisaf M. [jdrr.org]

  • Aphthous Stomatitis

    Recurrent aphthous stomatitis, or canker sores, can be painful and may interfere with food intake and speech. More than half of all intraoral cancers in the United States are located on the tongue. [clinicaladvisor.com]

    Aphthous stomatitis (canker sores) Aphthous stomatitis Traumatic ulcer Geographic tongue (benign migratory glossitis)/erythema migrans Lichen planus Inflammatory papillary hyperplasia Epulis fissuratum (inflammatory fibrous hyperplasia) Contact stomatitis [intechopen.com]

    Idiopathic: Aphthous ulcers or recurrent aphthous stomatitis (very common). [patient.info]

Musculoskeletal

  • Arthritis

    The genetics of psoriasis and psoriatic arthritis. Clin Rev Allergy Immunol. 2013;44:149-56. [ Links ] 16 Ulmansky M, Michelle R, Azaz B. Oral psoriasis: report of six new cases. [scielo.br]

    This reactive form of arthritis is characterized by urethritis, conjunctivitis and arthritis in genetically predisposed individuals (HLA-B27 positivity) [ 3, 4 ]. [karger.com]

    (arthritis, uveitis/conjunctivitis and urethritis).[9] Diagnosis[edit] The differential diagnosis includes oral lichen planus,[11] erythematous candidiasis,[11] leukoplakia,[11] lupus erythematosus,[10] glossitis,[10] and chemical burns.[2] Atrophic [en.wikipedia.org]

Workup

Histopathological Features of Oral Psoriasis Although a tissue biopsy is necessary as part of the workup process, there is no consensus regarding the microscopic features of oral psoriasis [ 7 ]. [karger.com]

Treatment

The lesion was refractory to the previous treatment with topical corticosteroid treatment for the last 2 years. [ncbi.nlm.nih.gov]

Reasons for geographic tongue Psoriasis Lichen planus Vitamin B deficiency Pregnancy Treatment options Geographic tongue does not require a treatment or else cure. [locusdentalcare.com]

Treatment Key Points * Condition is benign and self-resolving, so treatment is often not required. * Treatment of associated conditions may improve the appearance of the tongue. * Oral discomfort can be treated with various medications, such as antiseptic [ozarkderm.com]

Images in Clinical Medicine Emili Masferrer, M.D., and Anna Jucgla, M.D. 3 Citing Articles A 61-year-old man was referred for treatment of painless white lesions on his tongue that had appeared 1 month earlier. [nejm.org]

Prognosis

Beginning with history taking, clinical examination, terminology and imaging, each of the following chapters examines a different oral disease, providing step by step analysis of its aetiology, clinical features, histopathology, diagnosis, treatment and prognosis [books.google.de]

Prognosis: Prognosis is good, with discontinuation of the offending product. [intechopen.com]

Prognosis Geographic tongue is a harmless condition, so it should be of little concern. [sabkadentist.com]

Poor prognosis E. Radiation resistance F. Can not metastasise to the bone answer is B http://en.wikipedia.org/wiki/Basal-cell_carcinoma Prognosis is excellent if the appropriate method of treatment is used in early primary basal-cell cancers. [adcprep.wordpress.com]

Outlook (Prognosis) Geographic tongue is a harmless condition. It may be uncomfortable and last for a long time. When to Contact a Medical Professional Call your provider if the symptoms last longer than 10 days. [ufhealth.org]

Etiology

Although various predisposing factors have been proposed, the exact etiology remains obscure. [medcraveonline.com]

They have different etiologies and characteristics with periods of crises and remissions with spontaneous improvement. Objectives: We present a case of geographic tongue with nonspecific etiologic agent, evolving a lichenoid reaction. [thieme-connect.com]

Benign migratory glossitis is an asymptomatic inflammatory disorder of tongue of unknown etiology. Benign migratory glossitis (BMG) is an intraoral benign condition of dorsal tongue, and is usually as- ymptomatic. [freethesaurus.com]

In this case also since no etiological factor was evident, only oral hygiene instructions were recommended for the follow-up visits. [amhsjournal.org]

Epidemiology

[…] borders Local loss of filiform papillae leads to ulcer-like lesions that rapidly change color and size Associated with common cold, work / home stress Associated with tongue fissures Terminology Also called benign migratory glossitis, glossitis migrans Epidemiology [pathologyoutlines.com]

61 Bray SC...Carek PJ 31532821 2019 6 Genetic and developmental disorders of the oral mucosa: Epidemiology; molecular mechanisms; diagnostic criteria; management. 61 Pinna R...Cagetti MG 31090139 2019 7 Association of geographic tongue and fissured tongue [malacards.org]

Immunologic and psychologic parameters have been associated with geographic tongue. [15] Epidemiology Frequency Geographic tongue has reportedly occurred in up to 3% of the general population in the United States. [emedicine.com]

Epidemiology of oral mucosal lesions in United States school children. Community Dent Oral Epidemiol. 1994;22:243–53. [PubMed] [Google Scholar] [20] Arendorf TM, Van der Ross R. Oral lesions in a black pre- school South African population. [ncbi.nlm.nih.gov]

Pathophysiology

Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 24. [nlm.nih.gov]

Pathophysiology The most commonly affected site is the tongue; however, other oral mucosal soft tissue sites may be affected. [emedicine.com]

Prevention

Vivek Mehta1 1Department of Pediatric and Preventive Dentistry, Jamia Millia Islamia, India 1Department of Pediatric and Preventive Dentistry, Assistant Professor, Jamia Millia Islamia, India Correspondence: Vivek Mehta, Department of Pediatric and Preventive [medcraveonline.com]

Preventing Geographic Tongue As geographic tongue can occur due to a vitamin B deficiency, you need to eat more vitamin B-rich foods. This vitamin can even prevent recurrence of patches on your tongue. [top10homeremedies.com]

Prevention There is no way to prevent geographic tongue. Treatment Geographic tongue does not need to be treated. Soreness can be treated with an anesthetic or a steroid applied to the area. Sometimes an antifungal medicine may help. [sabkadentist.com]

As the cause is dark, the condition is not preventable. [aihbonline.com]

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